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- Title
Liquid Biopsies as Non-Invasive Tools for Mutation Profiling in Multiple Myeloma: Application Potential, Challenges, and Opportunities.
- Authors
Heestermans, Robbe; Schots, Rik; De Becker, Ann; Van Riet, Ivan
- Abstract
Over the last decades, the survival of multiple myeloma (MM) patients has considerably improved. However, despite the availability of new treatments, most patients still relapse and become therapy-resistant at some point in the disease evolution. The mutation profile has an impact on MM patients' outcome, while typically evolving over time. Because of the patchy bone marrow (BM) infiltration pattern, the analysis of a single bone marrow sample can lead to an underestimation of the known genetic heterogeneity in MM. As a result, interest is shifting towards blood-derived liquid biopsies, which allow for a more comprehensive and non-invasive genetic interrogation without the discomfort of repeated BM aspirations. In this review, we compare the application potential for mutation profiling in MM of circulating-tumor-cell-derived DNA, cell-free DNA and extracellular-vesicle-derived DNA, while also addressing the challenges associated with their use.
- Subjects
MULTIPLE myeloma; CELL-free DNA; DISEASE relapse; BONE marrow; LIQUIDS; BIOPSY
- Publication
International Journal of Molecular Sciences, 2024, Vol 25, Issue 10, p5208
- ISSN
1661-6596
- Publication type
Article
- DOI
10.3390/ijms25105208